Imaging prices at Russell Regional Hospital

Russell, KS · every code in this section with a posted price and a Medicare benchmark.

263 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $140.25 $165 1.8×
Abdomen 2 views (74019) $161.50 $190 1.7×
Acute Gastrointestinal Blood Loss Imaging (78278) $669.38 $787.50 1.8×
Ankle 2 views (73600) $142.80 $168 1.8×
Bone age studies (77072) $124.95 $147 1.3×
Bone Imaging 3 Phase (78315) $752.25 $885 2.0×
Bone Imaging Limited Area (78300) $726.75 $855 2.0×
Bone Imaging Multiple Areas (78305) $669.38 $787.50 1.8×
Bone Imaging Whole Body (78306) $752.25 $885 2.0×
Bone survey infant (77076) $195.50 $230 2.0×
Cat Scan Follow-Up Study (76380) $680 $800 8.5×
Chest 1 view (71045) $140.25 $165 1.8×
Chest 2 views (71046) $161.50 $190 2.0×
Chest 3 views (71047) $161.50 $190 2.0×
Chest 4 or more views (71048) $212.50 $250 2.2×
Clavicle complete (73000) $161.50 $190 2.0×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines		 $84.15–$586.50 $99–$690 varies
Contrast X-Ray Bladder (74430) $464.10 $546 1.4×
CT abdomen and pelvis without and with contrast (74178) $1,588.65 $1,869 5.0×
CT abdomen and pelvis without contrast (74176) $1,355.75 $1,595 6.2×
CT abdomen w contrast (74160) $892.50 $1,050 5.5×
CT abdomen w wo contrast (74170) $1,003 $1,180 6.2×
CT abdomen w/o contrast (74150) $680 $800 7.1×
CT Angio Abdomen and Pelvis (74174) $1,219.75 $1,435 3.8×
CT Angio Chest (71275) $1,032.75 $1,215 6.4×
CT Angio Head (70496) $1,020 $1,200 6.3×
CT angio hrt w/3d image (75574) $606.90 $714 1.9×
Ct Angio Lwr Extr W/O&W/Dye (73706) $910.35 $1,071 5.6×
CT Angio Neck (70498) $1,020 $1,200 6.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $910.35 $1,071 5.6×
CT bone density (77078) $293.25 $345 3.7×
CT cervical spine w/ contrast (72126) $892.50 $1,050 2.8×
CT cervical spine w/o contrast (72125) $680 $800 7.1×
CT cervical spine w/wo cont (72127) $1,003 $1,180 6.2×
CT chest w contrast (71260) $892.50 $1,050 5.5×
CT chest w/wo contrast (71270) $1,003 $1,180 6.2×
CT colonography screening (74263) $765 $900 3.5×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $765 $900 4.7×
CT colonogrphy dx image postprocess w/o contrast (74261) $765 $900 8.0×
CT head/brain with contrast (70460) $892.50 $1,050 5.5×
CT head/brain without and with contrast (70470) $1,003 $1,180 6.2×
CT iac w contrast (70481) $892.50 $1,050 5.5×
CT l-spine w&w/o contrast (72133) $1,003 $1,180 6.2×
CT lower ext w/o (73700) $680 $800 7.1×
CT lower extremity w/contrast material (73701) $892.50 $1,050 5.5×
CT lumbar spine w contrast (72132) $892.50 $1,050 2.8×
CT lumbar spine w/o contrast (72131) $680 $800 7.1×
CT maxillofacial w contrast (70487) $892.50 $1,050 5.5×
CT maxillofacial wo contrast (70486) $680 $800 7.1×
CT neck tissue combo (70492) $1,003 $1,180 6.2×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,003 $1,180 6.2×
CT orbits w/o contrast (70480) $680 $800 7.1×
CT pelvis w&w/o contrast (72194) $1,003 $1,180 6.2×
CT pelvis w/o contrast (72192) $680 $800 7.1×
CT scan of leg combo (73702) $1,003 $1,180 6.2×
CT scans face/jaw combo (70488) $1,003 $1,180 6.2×
CT soft tissue neck w contrast (70491) $892.50 $1,050 5.5×
CT soft tissue neck w/o contrast (70490) $680 $800 7.1×
CT thoracic spine w contrast (72129) $892.50 $1,050 5.5×
CT thoracic spine w/o contrast (72128) $680 $800 7.1×
CT thoracic spine w/wo cont (72130) $1,003 $1,180 6.2×
CT thorax w/o contrast (71250) $680 $800 7.1×
CT unlisted procedure (76497)
range across 3 matching MRF lines		 $42.50–$606.90 $50–$714 varies
CT upper ext wo (73200) $680 $800 7.1×
CT upper extremity w/o & w/contrast material (73202) $977.50 $1,150 6.1×
CT upper extremity with contrast (73201) $892.50 $1,050 2.8×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,020 $1,200 6.3×
Cta Abdomen (74175) $1,020 $1,200 6.3×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $605.93 $712.86 1.9×
CTA pelvis (72191) $910.35 $1,071 5.6×
Dxa Bone Density Axial (77080) $297.50 $350 3.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $80.75 $95 1.0×
Esophagram (74220) $272 $320 1.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $131.75 $155 1.4×
Fluoroscopy up to 1 hr (76000) $263.50 $310 1.2×
Foot 2 views (73620) $142.80 $168 1.8×
Forearm 2 views (73090) $161.50 $190 2.0×
Gastric emptying imaging study (78264) $752.25 $885 2.0×
Gastric Mucosa Imaging (78261) $637.50 $750 1.7×
Gated Heart Planar Single (78472) $821.10 $966 2.2×
Hand 2 views (73120) $142.80 $168 1.5×
Hepatobil Syst Image W/Drug (78227) $879.75 $1,035 1.8×
Hepatobiliary System Imaging (78226) $879.75 $1,035 2.4×
Ht Musc Image Planar Mult (78454) $1,463.70 $1,722 1.2×
Ht Muscle Image Spect Sing (78451) $1,725.20 $2,029.65 1.4×
Hysterosalpingogram (74740) $562.28 $661.50 2.6×
K Flow/Funct Image Multiple (78709) $874.65 $1,029 1.8×
K Flow/Funct Image W/Drug (78708) $981.75 $1,155 2.0×
K Flow/Funct Image W/O Drug (78707) $876.35 $1,031 1.8×
Kidney Imaging Morphol (78700) $833 $980 2.3×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $833 $980 2.3×
Knee 3 Views (73562) $191.25 $225 2.4×
Liver & Spleen Imaging Static Only (78215) $748 $880 2.0×
Liver & Spleen Imaging W/Vascular Flow (78216) $748 $880 2.0×
Lung Ventilat&Perfus Imaging (78582) $969 $1,140 1.9×
Lung Ventilation Imaging (78579) $527 $620 1.4×
Lymph System Imaging (78195) $464.10 $546 0.9×
Magnetic Image Jaw Joint (70336) $937.13 $1,102.50 4.3×
Meckels Divert Exam (78290) $637.50 $750 1.7×
Mra Head W/O & W/Contrast Material (70546) $1,610.75 $1,895 5.0×
MRA head w/o contrast (70544) $1,049.75 $1,235 4.8×
MRA head with contrast (70545) $1,270.75 $1,495 4.0×
MRA neck w contrast (70548) $1,133.48 $1,333.50 3.5×
Mra Neck W/O &W/Contrast Material (70549) $1,564 $1,840 4.9×
MRA neck w/o contrast (70547) $1,049.75 $1,235 4.8×
MRI abdomen w contrast (74182) $1,270.75 $1,495 4.0×
MRI abdomen w/o contrast (74181) $1,049.75 $1,235 4.8×
MRI any jt lower extrem w/contrast material (73722) $1,270.75 $1,495 1.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,610.75 $1,895 5.0×
MRI any jt upper extremity w/contrast matrl (73222) $1,270.75 $1,495 1.8×
MRI bone marrow blood supply (77084) $705.08 $829.50 3.2×
MRI cervical spine w contrast (72142) $1,270.75 $1,495 4.0×
MRI cervical spine w/o cont (72141) $1,049.75 $1,235 4.8×
MRI chest w/o contrast (71550) $1,049.75 $1,235 4.8×
MRI chest with contrast (71551) $1,133.48 $1,333.50 1.6×
MRI chest wo w contrast (71552) $1,610.75 $1,895 5.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,133.48 $1,333.50 3.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,436.93 $1,690.50 4.5×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,049.75 $1,235 4.8×
MRI lumbar spine w contrast (72149) $1,270.75 $1,495 4.0×
Mri Neck Spine W/O & W/Dye (72156) $1,610.75 $1,895 5.0×
MRI orbit face &/neck w/o contrast (70540) $1,049.75 $1,235 4.8×
MRI orbit face neck w contrast (70542) $1,133.48 $1,333.50 3.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,610.75 $1,895 5.0×
MRI pelvis w contrast (72196) $1,142.40 $1,344 3.6×
MRI pelvis w/o & w contrast (72197) $1,610.75 $1,895 5.0×
MRI pelvis w/o contrast (72195) $1,049.75 $1,235 4.8×
MRI thoracic spine w/o contrast (72146) $1,049.75 $1,235 4.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,133.48 $1,333.50 3.5×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,049.75 $1,235 4.8×
Mri Uppr Extremity W/O&W/Dye (73220) $1,436.93 $1,690.50 4.5×
MRI, abdomen, combo (74183) $1,610.75 $1,895 5.0×
MRI, dorsal spine combo (72157) $1,555.50 $1,830 4.8×
MRI, dorsal spine contrast (72147) $1,270.75 $1,495 4.0×
MRI, joint upper extrem (73221) $1,049.75 $1,235 4.8×
MRI, joint upper extrem combo (73223) $1,610.75 $1,895 5.0×
MRI, lumbar spine combo (72158) $1,610.75 $1,895 5.0×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $782 $920 2.1×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $1,392.30 $1,638 1.2×
Myocardial Spect Multiple Studies (78452) $1,950.75 $2,295 1.6×
Neck soft tissue (70360) $140.25 $165 1.8×
Nuclear medicine study of endocrine organs (78099) $374 $440 1.0×
Optic foramina (70190) $119 $140 1.5×
Parathyroid Planar Imaging (78070) $597.98 $703.50 1.6×
Pelvis 1 or 2 views (72170) $140.25 $165 1.5×
Pulmonary Perfusion Imaging Particulate (78580) $553.35 $651 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $229.50 $270 2.4×
Radex abscess/fistula/sinus tract rs&i (76080) $544 $640 1.1×
Radex Ankle Complete Minimum 3 Views (73610) $182.75 $215 2.3×
Radex Calcaneus Minimum 2 Views (73650) $144.50 $170 1.8×
Radex elbow complete minimum 3 views (73080) $191.25 $225 2.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $238 $280 2.5×
Radex fingr minimum 2 views (73140) $153 $180 1.9×
Radex foot complete minimum 3 views (73630) $182.75 $215 2.3×
Radex Hand Minimum 3 Views (73130) $187 $220 2.3×
Radex lower extremity infant minimum 2 views (73592) $124.95 $147 1.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $195.50 $230 2.0×
Radex Nasal Bones Complete Minimum 3 Views (70160) $140.25 $165 1.8×
Radex Ribs Unilateral 2 Views (71100) $170 $200 2.1×
Radex shoulder complete minimum 2 views (73030) $178.50 $210 2.2×
Radex Sinuses Paransl < 3 Views (70210) $161.50 $190 2.0×
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines		 $124.95–$140.25 $147–$165 varies
Radex Sternum Minimum 2 Views (71120) $182.75 $215 2.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $153 $180 1.9×
Radex Toe Minimum 2 Views (73660) $136 $160 1.7×
Radex upper extremity infant minimum 2 views (73092) $124.95 $147 1.3×
Radex Wrist Complete Minimum 3 Views (73110) $187 $220 2.3×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $174.04 $204.75 1.8×
Radiolog exam mandible compl minimum 4 views (70110) $267.75 $315 2.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $229.50 $270 2.4×
Radiologic exam colon double contrast study (74280) $1,338.75 $1,575 8.3×
Radiologic exam colon single contrast study (74270) $1,338.75 $1,575 8.3×
Radiologic exam knee complete 4/more views (73564) $276.25 $325 2.9×
Radiologic exam pelvis compl minimum 3 views (72190) $191.25 $225 2.0×
Radiologic Exam Small Int Single Contrast Study (74250) $272 $320 1.7×
Radiologic exam swallow function contrast study (74230) $199.75 $235 1.2×
Radiologic exam upr gi trc double contrast study (74246) $272 $320 1.7×
Radiologic examination femur 1 view (73551) $124.95 $147 1.6×
Radiologic examination femur minimum 2 views (73552) $142.80 $168 1.8×
Radiologic examination knee 1/2 views (73560) $148.75 $175 1.9×
Radiologic Examination Osseous Survey Limited (77074) $205.28 $241.50 2.1×
Radiologic Examination Salivary Gland Calculus (70380) $119 $140 1.5×
Radiologic examination tibia & fibula 2 views (73590) $161.50 $190 2.0×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $205.28 $241.50 0.4×
Ribs bilateral 3 views (71110) $182.75 $215 1.9×
Rp loclzj tum plnr 1 area single day imaging (78800) $739.50 $870 2.0×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,082.05 $1,273 2.9×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,082.05 $1,273 2.2×
Scapula (73010) $161.50 $190 1.7×
Screening Digital Breast Tomosynthesis Bi (77063) $131.75 $155 5.6×
Sella turcica (70240) $119 $140 1.5×
Shoulder 1 view (73020) $140.25 $165 1.8×
Skull less than 4 views (70250) $182.75 $215 1.9×
Sternoclavicular joints (71130) $160.65 $189 2.0×
Testicular Imaging W/Flow (78761) $833 $980 2.3×
Thoracic spine 2 views (72070) $161.50 $190 1.7×
Thoracic spine 3 views (72072) $182.75 $215 1.9×
Thyroid Imaging With Vascular Flow (78013) $357 $420 1.0×
Thyroid Uptake Measurement (78012) $357 $420 1.0×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $599.25 $705 1.6×
Ultrasound Breast Limited (76642) $133.88 $157.50 1.7×
Ultrasound Exam Aaa Screen (76706) $225.25 $265 2.3×
Ultrasound, abdomen limited (76705) $276.25 $325 2.9×
Unlisted fluoroscopic procedure (76496) $221 $260 2.8×
Unlisted magnetic resonance procedure (76498) $938.83 $1,104.50 11.7×
Unlisted us procedure (76999) $102 $120 1.3×
Upper gi w/o kub (74240) $259.25 $305 1.6×
Ureteral Reflux Study (78740) $833 $980 2.3×
Urethrocystography retrograde (74450) $442 $520 2.0×
Us breast unilateral complete (76641) $191.25 $225 2.0×
Us chest (76604) $170 $200 1.8×
Us complete joint (76881) $160.65 $189 1.7×
Us exam, pelvic, limited (76857) $161.50 $190 1.7×
Us head (76506) $642.60 $756 6.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 8 matching MRF lines		 $160.65–$182.75 $189–$215 varies
Us ob limited 1 or more fetuses (76815) $140.25 $165 1.5×
Us ob transvaginal (76817) $140.25 $165 1.5×
Us pelvic non ob complete (76856) $191.25 $225 2.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $110.50 $130 1.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $110.50 $130 1.1×
Us retroperitoneal complete (76770) $229.50 $270 2.4×
Us retroperitoneal limited (76775) $174.25 $205 1.8×
Us scrotum and contents (76870) $191.25 $225 2.0×
Us thyroid (76536) $642.60 $756 6.7×
Us transrectal (76872) $153 $180 1.6×
Venous thrombosis imaging (78457) $510 $600 1.0×
Venous Thrombosis Imaging Venogram Bilateral (78458) $510 $600 1.4×
Wrist 2 views (73100) $123.25 $145 1.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $187 $220 2.3×
X-Ray Bend Only L-S Spine (72120) $297.50 $350 3.1×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $161.50 $190 2.0×
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines		 $960.50–$969 $1,130–$1,140 varies
X-Ray Exam Entire Spi 1 Vw (72081) $120.49 $141.75 1.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $138.34 $162.75 1.4×
X-Ray Exam Entire Spi 4/5 Vw (72083) $156.19 $183.75 1.6×
X-Ray Exam Hip Uni 1 View (73501) $182.75 $215 2.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $221 $260 2.8×
X-Ray Exam Hips Bi 2 Views (73521) $255 $300 2.7×
X-Ray Exam Hips Bi 3-4 Views (73522) $267.75 $315 2.8×
X-Ray Exam L-S Spine Bending (72114) $382.50 $450 4.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $182.75 $215 2.3×
X-Ray Exam Neck Spine 6/>Vws (72052) $344.25 $405 3.6×
X-Ray Exam Unilat Ribs/Chest (71101) $255 $300 2.7×
X-ray eye for foreign body (70030) $140.25 $165 1.8×
X-ray humerus (73060) $174.25 $205 2.2×
X-ray IV pyelogram (ivp) (74400) $464.10 $546 2.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $160.65 $189 2.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $140.25 $165 1.8×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $221 $260 2.3×
X-ray nose-rectum child f.b. (76010) $124.95 $147 1.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $301.75 $355 3.1×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $140.25 $165 1.5×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $140.25 $165 1.8×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $187.43 $220.50 2.3×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $267.75 $315 2.8×
X-ray thoracic spine 4 vw (72074) $212.50 $250 2.2×
X-Ray Tmj Unilat (70328) $124.95 $147 1.6×
X-Rays Bone Survey Complete (77075) $229.50 $270 2.4×
Xr c-spine 4 or 5 views (72050) $293.25 $345 3.0×
Xr facial bones less than 3 views (70140) $229.50 $270 2.9×
XR Mastoids < 3 Views Bilateral (70120) $136 $160 1.4×
Xr orbits complete 4 views (70200) $233.75 $275 2.4×
Xr Tomogram Single Plane (76100) $195.50 $230 2.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.